• Pediatric Gastroenterology, Hepatology & Nutrition
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• 제7권2호
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• pp.228-238
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• 2004

목적: 소아 비만클리닉에서 시행하는 선별검사로 대사증후군의 위험인자를 미리 인지하여 비만아가 치료를 지속적으로 할 수 있도록 지도하는데 도움을 주고자 하였다. 대상: 2000년 2월부터 2004년 6월까지 이대 목동병원 소아 비만클리닉을 방문한 비만아에서 의무기록이 충실하고 체질량지수(BMI)가 95 백분위수 이상인 88명(남 52명, 여 36명)을 대상으로 하였다. 방법: 비만아에서 BMI를 계산하고 혈압은 안정 상태에서 두 번 측정하여 평균을 구하였다. 12시간 공복 후에 혈청 지질(중성지방, 총콜레스테롤, 고밀도 콜레스테롤, 저밀도 콜레스테롤), 혈당과 혈중 인슐린 농도를 측정하였다. 인슐린 저항성 지표로 fasting insulin to glucose ratio (FIGR), homeostasis model assessment of insulin resistance (HOMA-IR), quantitative insulin sensitivity check index (QUICKI)를 이용하였다. 결 과: 비만아 88명 중 53명(60.2%)에서 하나 이상의 대사증후군의 위험 인자를 보였다. 고혈압은 13명(14.8%), 중성지방 ${\geq}150mg/dL$ 13명(14.8%), 총콜레스테롤 ${\geq}200mg/dL$ 23명(26.1%), 고밀도 콜레스테롤 ${\leq}40mg/dL$ 13명(14.8%), 저밀도 콜레스테롤 ${\geq}130mg/dL$ 11명(12.5%)이었으며 고인슐린 혈증은 11명(12.5%)이었다. BMI는 수축기 혈압(r=0.535), 고밀도 콜레스테롤(r=-0.214), 인슐린 농도(r=0.342), HOMA-IR (r=0.346), FIGR (r=0.329), QUICKI (r=-0.22)와 유의한 상관 관계를 보였다. 인슐린 농도(r=0.233), HOMA-IR (r=0.234)은 수축기 혈압과, FIGR은 수축기 혈압(r=0.227) 및 저밀도 콜레스테롤(r=0.223)과, QUICKI는 혈당(r=-0.308)과 각각 유의한 상관관계를 보였다. 선별검사에서 대사증후군의 위험 인자가 많을수록 인슐린 저항성(HOMA-IR, FIGR)이 유의하게 증가하였다. 한편 인슐린 저항성을 가장 잘 설명하는 인자로는 BMI, 중성지방, 총콜레스테롤이었다. 결론: 소아 비만클리닉을 방문하는 비만아에서 이미 대사증후군이 시작되고 있으므로 행동 수정, 식사조절 및 운동 처방뿐 아니라 혈압, 지질, 혈당, 인슐린 농도 등을 정기적으로 검사하여 적극적으로 관리해야 한다.

• Nutrition Research and Practice
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• 제14권6호
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• pp.580-592
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• 2020

BACKGROUND/OBJECTIVES: The present study aimed to further investigate the potential health beneficial effects of long-term seaweed supplementation on lipid metabolism and hepatic functions in DIO mice. MATERIALS/METHODS: Four brown seaweeds (Undaria pinnatifida [UP], Laminaria japonica [LJ], Sargassum fulvellum [SF], or Hizikia fusiforme [HF]) were added to a high fat diet (HFD) at a 5% ratio and supplemented to C57BL/6N mice for 16 weeks. Triglycerides (TGs) and total cholesterol (TC) in the liver, feces, and plasma were measured. Fecal bile acid (BA) levels in feces were monitored. Hepatic insulin signaling- and lipogenesis-related proteins were evaluated by Western blot analysis. RESULTS: Fasting blood glucose levels were significantly reduced in the LJ, SF, and HF groups compared to the HFD group by the end of 16-week feeding period. Plasma TG levels and hepatic lipid accumulation were significantly reduced in all 4 seaweed supplemented groups, whereas plasma TC levels were only suppressed in the UP and HF groups compared to the HFD group. Fecal BA levels were significantly elevated by UP, LJ, and SF supplementation compared to HFD feeding only. Lastly, regarding hepatic insulin signaling-related proteins, phosphorylation of 5'-AMP-activated protein kinase was significantly up-regulated by all 4 types of seaweed, whereas phosphorylation of protein kinase B was up-regulated only in the SF and HF groups. Lipogenesis-related proteins in the liver were effectively down-regulated by HF supplementation in DIO mice. CONCLUSIONS: Brown seaweed consumption showed hypotriglyceridemic effects in the prolonged DIO mouse model. Specifically, combinatory regulation of BA excretion and lipogenesis-related proteins in the liver by seaweed supplementation contributed to the reduction of plasma and hepatic TG levels, which inhibited hyperglycemia in DIO mice. Thus, the discrepant and species-specific functions of brown seaweeds provide novel insights for the selection of future targets for therapeutic agents.

• 동아시아식생활학회지
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• 제23권1호
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• pp.31-38
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• 2013

본 연구는 밥 중심 식사 패턴이 비만에 미치는 영향을 조사하고자 C57BL/6 마우스를 고지방식이 대조군(HFD), 밥 중심 식사 급여군(RD) 및 빵 중심 식사 급여군(BD)으로 분류하여 각 실험 식이를 5주간 공급하여 마우스의 체중 변화, 혈중 지질 함량, 지방조직의 무게 및 혈중 glucose 및 insulin 함량을 비교 측정하였다. 실험 결과, 모든 처리군에서 사료 섭취량의 유의적인 차이를 나타내지 않았으나, RD 급여군에서의 체중 증가량은 BD 급여군에 비하여 유의적으로 낮아졌다(p<0.05). 지방조직 무게 역시 RD 급여군에서 낮은 수치를 보였으며, 특히 부고환지방의 무게 및 지방세포의 크기는 BD 급여군에 비하여 현저하게 감소하였다. RD 급여군에서의 혈중 중성지방 및 총콜레스테롤, 포도당 및 인슐린 농도 역시 BD 급여군에 비하여 유의적으로 낮았다(p<0.05). 이상의 실험 결과를 종합해 볼 때, 밥 중심의 식사는 고지방 식이를 비롯한 빵 중심 식사에 비하여 체내 지방조직의 축적을 억제하고, 혈중 지질농도를 감소시키며, 혈당의 증가를 억제함으로써 비만 및 당뇨병 등의 대사성 질환을 개선하는 데에 있어서 효과적인 것으로 사료된다.

• 한국식품과학회지
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• 제32권1호
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• pp.206-211
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• 2000

본 실험은 발아메밀을 식이에 50%(w/w) 혼합하여 6주간 섭취시켰을 때 발아메밀이 고혈압쥐의 혈압, 혈당 및 혈중 지질농도에 어떠한 영향을 미치는지를 파악하므로써 발아메밀의 기능성 식품으로서의 이용성을 확인하고자 하였다. 실험기간 중 실험쥐의 체중증가는 숫컷의 경우 대조군에 비하여 발아메밀군에서 유의적으로 증가하였다. 장기무게는 숫컷의 경우 간, 신장, 심장이 대조군에 비하여 발아메밀군에서 유의하게 무거웠으나 체중에 대한 장기 무게비로 볼 때 모든 장기에서 유의적인 차이가 없었으며 암컷의 경우 심장의 경우에만 대조군에 비하여 발아메밀군에서 유의적으로 증가하였다. 실험기간 6주 후 수축기혈압은 숫컷의 대조군에 비하여 발아메밀군에서 유의적으로 3% 감소하였으며, 혈당은 숫컷과 암컷 모두에서 대조군에 비하여 발아메밀군에서 감소하는 경향을 나타내었으며, 혈중 HDL-콜레스테롤 농도 및 HTR은 대조군에 비하여 암컷의 발아메밀군에서 유의하게 증가하였다. 동맥경화지수는 대조군에 비하여 암컷의 발아메밀군에서 유의하게 감소하였다. 본 실험의 결과에서 발아메밀은 숫컷 고혈압쥐의 혈압상승을 뚜렷하게 억제하였으며, 암컷의 경우 혈중 HDL-콜레스테롤 및 HTR을 증가시켰으며 동맥경화지수를 유의적으로 감소시켰다. 따라서 본 실험 조건하에서 제조된 발아메밀은 혈압 상승을 억제시키고 혈당 및 혈중 지질대사를 개선시킬 수 있는 항고혈압 기능성식품으로의 이용 가능성이 기대된다.

• Asian-Australasian Journal of Animal Sciences
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• 제21권6호
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• pp.853-860
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• 2008

This experiment was conducted to study the effects of chromium (Cr), dietary crude protein (CP) level and potential interactions between these two factors on growth rate and carcass response, insulin activity and lipid metabolism in lambs. Forty-eight, 9-week-old weaned lambs (Dorper$\times$Small-tail Han sheep, mean initial body weight = $22.96kg{\pm}2.60kg$) were used in a $2{\times}3$ factorial arrangement of supplemental Cr (0 ppb, Cr0; 400 ppb, Cr1; or 800 ppb, Cr2 from chromium yeast) and CP levels (157 g/d to 171 g/d for each animal, LP; or 189 g/d to 209 g/d for each animal, HP). Growth data and blood samples were collected at the beginning and end of the feed trial, after which the lambs were killed. Both Cr additive groups and the HP group increased final weight and average daily gain, especially the Cr1 and HP group (p<0.01). HP increased pelvic fat weight (p<0.05), fat thickness of the 10th rib (p<0.05), longissimus muscle area (p<0.01) and rate of deposition of intramuscular fat (p<0.01). Supplemental Cr decreased the rate of deposition of intramuscular fat (p<0.05). Fasting insulin level and the ratio of insulin to glucose were lower with Cr1 than other groups, but with no significant difference. Glucose concentration was not affected by any treatment. Nonesterified fatty acids increased in the Cr1 (p<0.05) and HP (p<0.05) conditions and there was a significant $Cr{\times}CP$ interaction (p<0.05). Cr1 decreased triglycerides (p<0.05) and total cholesterol (p = 0.151) and HP increased high-density lipoprotein cholesterol (p<0.05). Cr1 decreased lipoprotein lipase activity in subcutaneous adipose tissue (aLPL, p<0.05) and the ratio of aLPL to lipoprotein lipase activity in skeletal muscle (mLPL, p = 0.079). mLPL and hepatic lipase (hHL) were not affected by any treatment. In the present study, Cr had limited effects on growth rate and carcass response, whereas Cr and CP had some notable effects on plasma metabolites and enzyme activities. Cr has a potential effect on energy modulation between lipid and muscle tissue. In addition, few $Cr{\times}CP$ interactions were observed.

• Journal of Nutrition and Health
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• 제52권2호
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• pp.206-216
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• 2019

본 연구는 당뇨병 환자들의 소득수준에 따라 대사위험지표 관리수준을 비교하고, 최근 관리 추이를 관찰하여 궁극적으로 당뇨병 환자들의 합병증 예방 관련 전략을 마련할 수 있는 기초자료를 마련하기 위하여 1998 ~ 2014년 국민건강영양조사 자료를 분석하였다. 국민건강영양조사에 참여한 조사대상자 중 당뇨병 환자이면서 본인의 질환을 인지하고 있는 대상자들을 추출하였고, 가구소득정보를 이용하여 세 그룹으로 분류하여 분석하였다. 당뇨병 환자들의 기본정보, 생활습관정보, 영양소 섭취 정보, 혈액지표 등은 건강설문조사, 영양조사, 검진조사를 통해 수집되었다. 자료 분석은 변수 특성에 따라 카이검정, 일원분산분석 등을 실시하였고, 다중선형회귀분석을 이용하여 혈압 및 혈액지표의 보정평균을 산출하였다. 당뇨환자들의 공복혈당, HbA1c 및 혈중지질 농도의 평균은 소득수준에 따라 유의적인 차이를 보이지 않았다. 조사기간인 1998년부터 2014년간의 16년 동안 대사위험지표 변화 추이를 살펴본 결과, 모든 그룹에서 혈압의 유의미한 감소 추세를 보였다 (p < 0.001). 소득이 가장 높은 그룹에서는 공복혈당 (p = 0.004), 총 콜레스테롤 (p < 0.001), LDL-콜레스테롤 농도 (p = 0.01)가 유의하게 감소하는 추이를 보였고, HDL-콜레스테롤 농도 (p < 0.001)는 유의하게 증가하는 추이를 보였다. 저소득층에서는 공복혈당 (p = 0.02), 총 콜레스테롤 (p < 0.001), 중성지방 농도 (p = 0.003)가 시간 경과에 따라 유의적으로 감소하는 경향을 보였다. 그러나 중간소득층에서는 혈압을 제외한 모든 대사 위험 인자에 유의적인 변화 추이가 발견되지 않았다. 결론적으로 당뇨병 환자의 소득수준에 따른 대사 위험 인자의 관리수준에는 차이가 없었다. 최근 16년의 관찰 기간 동안 소득이 가장 높은 그룹과 가장 낮은 그룹은 대사 위험 인자의 유의미한 개선 추이를 보였으나, 중간소득 그룹은 변화가 관찰되지 않았다. 본 연구는 당뇨병 환자들의 지표 관리에 대한 전략 마련과 효과적인 보건대책을 위한 기초자료로서 중요한 의미가 있다고 사료된다.

• Journal of Nutrition and Health
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• 제14권3호
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• pp.136-145
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• 1981

This study was designed to observe the effects of both control and atherogenic diets on the cholesterol and triglyceride (TG) in serum and liver of adult rats fed diets supplying two levels of dietary fat and two different sources of dietary protein in early life. For the first experimental period, the rats were assigned into the four diet groups: High fat, casein (HC); High fat, gluten (HG); Low fat, casein (LC): Low fat, gluten (LG). Each group was subdivided into control and atherogenic groups for the second experimental period. Cholesterol and TG were determined in serum and liver after 7 hr fasting. The body weight gain was greater in the rats of the casein groups than those of the gluten groups tut not influenced by the level of the dietary fat. The difference in body weight from the quality of dietary protein in the first period was not disappeared even after the second period. After the first period, higher serum cholesterol was observed in the rats fed either casein or high fat diets. With the second experimental diet, rats fed atherogenic diet showed higher serum cholesterol concentration but lower serum TG levels compared to those fed control diet, regardless the diets fed in the first period. Serum cholesterol level of the rats of both groups which had been fed high fat diets in early life was increased compared to those of the low fat diet groups. This effect was more pronounced with the atherogenic diet groups than control groups. However, no differences were found in serum cholesterol levels resulted from the different types of dietary protein fed in the first period. Serum TG concentration was not influenced by the quality of protein and level of fat in the diet but seemed to be mere affected by the amount of carbohyrates in the diet. Liver cholesterol per unit weight was greater in the gluten diet groups than in the casein groups but total cholesterol was higher in casein fed rats. There were no differences in liver TG among the groups.

• 대한영양사협회학술지
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• 제15권2호
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• pp.188-196
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• 2009

The purpose of this study was to investigate the effects of nutrition counseling on diabetes management by determining changes in anthropometry and blood components as well as knowledge and practice of diet therapy and nutrient intake in 34 (male 11, female 23) type 2 diabetes patients. The knowledge and the practice of diet therapy, drinking, smoking and exercise were analyzed by questionnaires. Dietary nutrient intake were obtained from the patients by the 1 day 24-hr recall. Blood glucose level and blood pressure were measured before and 3 months after the treatment. The results are summarized as follows: Average weight (p<0.05) and body mass index (p<0.05) were significantly lower post-counseling. Fasting blood glucose levels (p<0.01) and postprandial-2hour blood glucose levels (p<0.01) were also significantly lower post-counseling. In lifestyle changes for self-management the patients showed significantly higher exercise habits post-counseling (p<0.01). Regarding their level of diet knowledge, they showed significantly higher levels post-counseling in six items such as importance of diet therapy for diabetes (p<0.001), principles of diet therapy (p<0.001), nutrient composition of foods (p<0.01), carbohydrate composition of foods (p<0.001), the prescribed calories (p<0.001) understanding food item and exchange units of cereals, grains (p<0.001) and fruits, juices (p<0.001). Regarding their diet practices, the patients showed significantly higher levels of practice post-counseling in keeping within permitted meal size (p<0.001), using food exchange lists (p<0.001), keeping exact meal times (p<0.01), and controling sweet foods (p<0.001). Protein (p<0.05), animal lipid (p<0.05), and vitamin C (p<0.05) intakes were significantly higher post-counseling.

• 한방비만학회지
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• 제21권2호
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• pp.59-68
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• 2021

Objectives: We investigated the effects of Clean-DM4 (C-DM4), a polyherbal extract consisting of Coptidis Rhizoma, Salviae Miltiorrhiza Radix, and Cinnamomi Cortex on high fat diet (HFD)-induced obesity and diabetes in mice. Methods: The C57BL/6 mice (6 weeks) were fed a HFD for 8 weeks and then administrated with C-DM4 extract at 500 mg/kg (p.o.) once daily for 4 weeks. The changes of body weights, calorie intakes, and fasting blood glucose (FBG) levels were measured in mice. The serum levels of glucose, insulin, total cholesterol, aspartate aminotransferase (AST), and alanine aminotransferase (ALT) were measured in mice by enzyme-based assay. It was also observed the histological changes of pancreas, liver, and fat tissues with hematoxylin and eosin (H&E) staining. Results: The increase of calorie intakes and FBG levels in HFD-induced obesity mice was significantly decreased by oral administration of C-DM4 extract. C-DM4 extract administration was significantly reduced the increased levels of glucose, insulin, total cholesterol, AST, and ALT in obesity mice. In addition, C-DM4 extract inhibited lipid droplet accumulation in liver tissues of obesity mice, hyperplasia of pancreatic islets, and enlargement of adipocytes in adipose tissues. Conclusions: Our study indicates that C-DM4 extract could help improve obesity and to prevent diabetes progression.

• Journal of Preventive Medicine and Public Health
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• 제26권3호
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• pp.387-399
• /
• 1993

This study was conducted to analyze blood lipid profile and other risk factors among crew members who are currently active and had more than 10 years of experience as crew members. Data was analyzed using medical record files in an airline medical department. The results are as follows. 1. The total number of crew members studied was 392. Among age groups, those below age 40 consisted of 26(6.9% of the total), those in age $41{\sim}50$ were 135 (34.4%) and those over age 51 were 230 (58.7%). 263 were former air force pilots consisting 66.9%. Those who had captain status numbered 21 I comprising 53.7% of the total. The type of aircraft most of the crew members involved were large size aircraft which totaled 268 (68.2%). With respect to the number of working years as crew members, 488(48.9%) comprised the largest group with $11{\sim}15$ years. 2. The rate of smoking among crew members has shown gradual decrease with 50.3% smoking in 1983 to 33.6% in 1993. Among $41{\sim}50$ age group the rate has shown a decrease from 20.9% to 13.3% In those group over age 51 it decreased from 25.5% to 16.6%. But group below age 40 were within the range of 3.6~3.8% with no significant change in the rate of smoking. 3. Body Mass Index in age group over 51 was slightly higher than other age groups. On the whole, BMI over 25 was not found. 4. The total cholesterol levels of those below age 40 were $196.9{\pm}38.5mg/dl,\;216.2{\pm}39.2mg/dl$ in ages $41{\sim}50$, and $225.1{\pm}42.5mg/dl$ in age group over 51. No significant difference was found among age groups. 5. HDL-cholesterol levels of over age 50 were higher than other age group and ranged from $40{\sim}55mg/dl$. 6. LDL-cholesterol levels of those over 51 were $126.7{\pm}37.7mg/dl$ higher than other age groups. But there were no significant changes in all age during 10 years of follow up. 7. Cardiac index of age group below age 40 was 3.8, 4.3 in age group $41{\sim}50$ and 4.5 in those over age 51 group. No significant changes among groups were found during the follow up period. 8. Triglyceride levels of age group below age 40 was $142.2{\pm}70.1,\;167.3{\pm}77.5$ in age group of $41{\sim}50$ and $113.6{\pm}897$ in age group over 50 showing that triglyceride levels increased with age. No significant changes in pattern were noted.